Individual provider Active NPI

Theresa Ann Sacchieri, M.D.

  • Family Medicine Physician
  • Lebanon, NJ
National Provider Identifier
1578616942
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25M07764100 Issued in NJ
Practice address
56 Payne Rd
Suite 21
Lebanon, NJ 08833-3262
Phone
(908) 238-0100
Fax
(908) 238-0951
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25M07764100 NJ Primary

Addresses

Primary practice location

56 Payne Rd
Suite 21
Lebanon, NJ 08833-3262

Mailing address

56 Payne Rd
Suite 21
Lebanon, NJ 08833-3262
Phone (908) 238-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000021 NJ Practitioner - Family Practice 9335177724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Annandale Family Practice, LLCGroup PAC ID 7416028527, 3 clinicians

Practice addresses (Care Compare)

56 Payne Rd
Suite 21
Lebanon, NJ 08833-3262
Phone (201) 314-1139

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25M07764100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Annandale Family Practice LLC Past Accepting new patients
The Doctor Is in, PA Family Medicine PastSince Dec 12, 1990 Accepting new patients
Angelo del Priore DPM Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: theresa.sacchieri.p33@direct.hunterdon.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1578616942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PAYNE RD",
            "address_2": "SUITE 21",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088333262",
            "telephone_number": "908-238-0100",
            "fax_number": "908-238-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 PAYNE RD",
            "address_2": "SUITE 21",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088333262",
            "telephone_number": "908-238-0100",
            "fax_number": "908-238-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCHIERI",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25M07764100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NJ

Sources for this page

Verify at the official NPI Registry.